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103 > Symptoms In Pharmacy > Flashcards

Symptoms In Pharmacy Flashcards

1
Q

Common ailment formulary is your best friend

A
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2
Q

Common Ailment scheme is…

A

Free treatment of 26 conditions in the formulary from a pharmacy

  • you must be registered in the pharmacy
  • a consultation is needed
  • after consultation, management and advice given
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3
Q

Who is not part of the common ailment scheme?

A

Patients over 60,
Pregnant/Breastfeeding patients
Recurring condition

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4
Q

What is choose pharmacy?

A

An electronic data records system which community pharmacists have access to

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5
Q

Cold symptoms

A

Congestion
Itchy/watery eyes
Feeling tired
Cough
Runny nose
Sore throat
Headache

Tends to be milder than flu, you know you have an infection once your mucus becomes thick and darker

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6
Q

Flu symptoms

A

Fever
Body aches
Extreme fatigue

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7
Q

Caused by virus indicates…

A

It is self limiting, in 2-3 days it will pass with healthy eating and drinking. No drugs will speed up the healing process, only there to manage symptoms

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8
Q

What are the two possible complications of common cold?

A

Sinusitis, acute otitis media (ear infection) and lower respiratory tract infection

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9
Q

Seasonal influenza complications are respiratory, some of these are

A

Acute bronchitis
Pneumonia
Sinusitis

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10
Q

Uncomplicated influenza symptoms include:

A

Inflammation
Nasal discharge
Muscle/joint pain
Sore throat + headache

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11
Q

Who is most at risk to seasonal influenza?

A

65 <
Chronic respiratory disease, heart, kidney, liver disease
Diabetes
Obese
Pregnant
< 6months

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12
Q

How do you manage influenza?

A

Drink adequate fluid
Paracetamol and ibuprofen to relieve and rest
Stay off work (~week)

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13
Q

Meningitis symptoms check

A

Rolling a rash with a glass - if it doesn’t disappear
Achy neck

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14
Q

What does acute mean?

A

Less than 3 weeks

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15
Q

Croup (laryngotracheobronchitis) is a childhood disease, what are the mild symptoms ?

A

Viral infection:

Seal-like coughing
No stridor
Sternal at rest

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16
Q

What are moderate croup symptoms?

A

Seal-like cough with stridor
Sternal recession at rest
No agitation or lethargy

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17
Q

What are severe croup symptoms?

A

Seal like barking cough with stridor
Sternal recession working and agitated/lethargic

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18
Q

Whooping cough (bordetella pertussis) can last for…

A

Incubation can last for 7 days and then actual infection can last for 3 weeks

Highly infectious

19
Q

Mouth ulcer questions

A

How long?
Painful?
Affected area?/how many?
New medication?
Other symptoms?

20
Q

Mouth ulcer can be caused by

A

Unknown

But can be anaemia/iron deficiency
Hypersensitivity
Psychological stress

21
Q

What can help mouth ulcers?

A

Saline solution

Antiseptic (chlorhexidine)
Anti-inflammatory (benzydamine)
Steroid (hydrocortisone)

22
Q

When should you refer a mouth ulcer?

A

Longer than 3 weeks
Feels harder around edges
Painless (cancerous)
Grows bigger
Back of throat or bleeding

23
Q

Dyspepsia (indigestion) symptoms

A

Upper abdominal pain
Burning sensation starting in stomach
Gastric acid reflux
Nausea or vomiting

24
Q

Dyspepsia causes

A

Peptic ulcer disease
Gastro-oesophageal reflux disease
Barrett’s oesophagus
Over eating
Pregnancy

25
Q

How do you manage dyspepsia?

A

Lifestyle choices - fitness, diet, less coffee+chocolate
Antacids - compounds that neutralise stomach acid (calcium carbonate)
Alginate - bubbles in acid and forms a raft on top of stomach to stop acid from refluxing

26
Q

Nausea and vomiting risks

A

Very young and very old watch out for dehydration
Pregnancy
Longer than 2 days in healthy people is cause for alarm

27
Q

What is considered constipation?

A

Only pooing 3 times a week

28
Q

What are constipation symptoms?

A

Abdominal discomfort
Cramping
Bloating
Nausea
Straining

29
Q

Haemorrhoids risks factors

A

Pregnancy
Heavy lifting
Chronic cough
Constipation
Anaemia

30
Q

Haemorrhoids treatment

A

Self-limiting (go within a week)
Lifestyle
Analgesia
Local anaesthetics

31
Q

When does teething happen?

A

4-12 month old infants

32
Q

What are some indications of teething?

A

Red gums, more biting, dribbling, chewing, ear-rubbing, decreased appetite

If the infant has a temperature is when you refer to GP 38C <

33
Q

What do you offer to a teething infant?

A

Calpol/paracetamol, not for anyone >3months or less than 5kg

Offer to parents the cry-sis website or advise on how to deal with teething

34
Q

What are indications of threadworm?

A

Itchy anus, as eggs are laid there. Scratch bum and spread eggs wherever child touches. May be visible in stools

35
Q

What are treatment for threadworms?

A

Extreme hygiene measures. Most likely in bedroom
Mebendazole (only if over 6month)

A second dose can be given if re infection is suspected. Treat every family member.

36
Q

What is colic?

A

Indigestion, trapped wind or temporary gut sensitivity

37
Q

How do you relieve colic?

A

ADVICE ONLY, no treatment. Use cry-sis website. Hold baby on their stomach. Be aware of other indications with similar problems

38
Q

What is the treatment for head lice

A

Detection comb, wet combing or dimeticone 4% lotion (Hedrin children >6months)

39
Q

What are indications of nappy rash?

A

Rash around the buttocks and thighs area

40
Q

Prolonged contact with a urine nappy can cause Candida fungal infection

A
41
Q

What are the treatments of nappy rash?

A

Zinc and Castor oil cream - thin layer over rash

Hydrocortisone 0.5% cream - must be older than 1month, no more than 1 a day for 7 days. (Last resort) PGD extremely specific.

If infection suspected then clotrimazole 1% cream. Do not use zinc and castor until the infection stops.

DO NOT APPLY TOGETHER. ONE THEN ALLOW IT TO ABSORB FOR 20MIN THEN THE OTHER OIL AND THEN NAPPY

42
Q

Oral thrush symptoms

A

Scabby/cheese looking on tongue. Wipe with a clean wipe and observe if white rubs off but leaves inflamed red scabs.

43
Q

Treatment for oral thrush

A

Miconazole oral gel - interacts with warfarin (consider mostly in adults). 7 day treatment.

Nyastatin

Application - Wash hands, apply a bit on tip of finger and wipe it over the patches. Ensure child doesn’t swallow to increase exposure

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